Tag Archives: There are 72 Hours in a Day

Straight, No Chaser: Healthcare Disparities

April 23, 2017General Health and Wellness, Public Health, Health Prevention844-SMA-TALK, Behind the Curtain, colorectal cancer, Conditions and Diseases, death rates, Diabetes, healthcare disparities, HIV, Hypertension, immunizations, infant mortality, Influenza, life expectancy, Obesity, periodontitis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

In large part, this blog exists to inform individuals of all backgrounds about the risks that lead to abnormal health outcomes. Our hope is that once you discover the risks, you’ll be sufficiently equipped and incentivized to take the simple steps provided to improve your health.
Disparities are abnormal outcomes of a different variety. Disparities in healthcare lead to premature development of disease and death. The culprits are often insufficient access to care, culture barriers, habits and even discriminatory practices. It is critical for all involved, i.e., individuals, healthcare planners and practitioners, to understand these causes so that everyone can adjust habits and apply resources to combat this health hazard affecting both individuals and communities.
For the last 25 years of my career, I’ve had the unfortunate privilege of addressing this topic in national forums, including before the National Urban League, before the National Medical Association, recently, in the NAACP’s The Crisis magazine and in Straight, No Chaser to extent that our service provides you with the information that can make a difference in your lives. Unfortunately for some, it’s almost never that easy.

As a statement of fact, according to the Center for Disease Control and Prevention (CDC) Health Disparities & Inequalities Report  of 2013, African-Americans suffer global health disparities that result in the following outcomes.

Life expectancy: In 2011, the average American could expect to live 78.7 years. The average African-American could only expect to live 75.3 years, compared with 78.8 years for the average White American.
Death rates: In 2009, African-Americans had the highest death rates from homicide among all racial and ethnic populations. Rates among African-American males were the highest for males across all age groups.
Infant mortality rates: In 2008, infants of African-American women had the highest death rate among American infants with a rate more than twice as high as infants of white women.

The following disparities were also reported:

Heart disease and stroke: In 2009, African-Americans had the largest death rates from heart disease and stroke compared with other racial and ethnic populations, with disparities across all age groups younger than 85 years of age.
High blood pressure: From 2007-2010, the prevalence of hypertension was among adults aged 65 years and older, African-American adults, US-born adults, adults with less than a college education, adults who received public health insurance (18-64 years old) and those with diabetes, obesity or a disability compared with their counterparts. The percentages of African-Americans and Hispanics who had control of high blood pressure were lower compared to white adults.
Obesity: From 2007-2010, the prevalence of obesity among adults was highest among African-American women compared with white and Mexican American women and men. Obesity prevalence among African-American adults was the largest compared to other race ethnicity groups.
Diabetes: In 2010, the prevalence of diabetes among African-American adults was nearly twice as large as that for white adults.
Activity limitations caused by chronic conditions: From 1999-2008, the number of years of expected life free of activity limitations caused by chronic conditions is disproportionately higher for African-American adults than whites.
Periodontitis: In 2009-2010, the prevalence of periodontitis (a form of dental disease) was greatest among African-American and Mexican American adults compared with white adults.
HIV: In 2010, African-American adults had the largest HIV infection rate compared with rates among other racial and ethnic populations. Prescribed HIV treatment among African-American adults living with HIV was less than among white adults.
Access to care: In 2010, Hispanic and African-American adults aged 18-64 years had larger percentages without health insurance compared with white and Asian/Pacific Islander counterparts.
Colorectal cancer: In 2008, African-Americans had the largest incidence and death rates from colorectal cancer of all racial and ethnic populations despite similar colorectal screening rates compared to white adults.
Influenza vaccination: During the 2010-11 influenza season, influenza vaccination coverage was similar for African-American and white children aged six months to 17 years but lower among African-American adults compared with white adults.
Socioeconomic factors: In 2011, similar to other minority adults aged 25 years or older, a larger percentage of African-American adults did not complete high school compared with white adults. A larger percentage of African-American adults also lived below the poverty level and were unemployed (adults aged 18-64 years) compared with white adults of the same age.

Identifying disparities is a good start. However, to reduce them it is necessary to identify and implement solutions, both individually and institutionally. To this end, we will explore best practices in future Straight, No Chaser posts. Feel free to ask any questions you have on this topic.

Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: An Overview of Workplace Injuries and Illnesses

April 22, 2017Occupational Health844-SMA-TALK, Behind the Curtain, Occupational Health, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

Many of us work in fields in which it is accurate to state “My job makes me sick!” Occupational illnesses and injuries take a massive toll on us. Whether we’re describing exposure to chemicals, workplace injuries, or workplace hazards and diseases, the number of cases of occupational injuries and illnesses has become so prevalent that occurrences are factored into job planning.

Consider the following dreadful statistics from the US Bureau of Labor Statistics for the year 2015.

A total of 4,836 fatal work injuries were recorded in the United States in 2015, a slight increase from the 4,821 fatal injuries reported in 2014.
There were approximately 2.9 million nonfatal workplace injuries and illnesses reported by private industry employers in 2015, which occurred at a rate of 3.0 cases per 100 equivalent full-time workers.

It should go without saying that there is a massive financial toll associated with this loss of life and function. The annual cost in the US for occupational injuries and illnesses is estimated at $192 billion dollars, inclusive of workers’ compensation and other insurance claims, medical expenses and other associated healthcare costs (e.g. physical and occupational therapy, home health, etc.), lost wages and productivity.

Additional Straight, No Chaser posts will focus on some of the more common and concerns aspects of occupational illnesses and injuries, including the following:

Anthrax
Back pain
Carpal Tunnel Syndrome
Depression in the Workplace
Electrical Safety
Fall Injuries
Flu in the Workplace
Noise Exposure
Poisonous Plants
Reproductive Health in the Workplace

Straight, No Chaser: Distracted Driving

April 21, 2017Trauma, Health Prevention844-SMA-TALK, Behind the Curtain, Distracted driving, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

I find lawmakers fascinating. For example, when states fail to pass distracted driving laws in the name of “freedom,” aren’t they basically signing off on Darwinism (i.e. survival of the fittest)? It’s as if they’re saying “well you’re free to do it, but if you’re dumb enough to get hurt, that’s on you.” Of course that ignores the fact that innocent bystanders are affected. Would you believe that more than 1,000 people are injured and almost 10 people die every day in the U.S. due to distracted drivers? Of course you would, because virtually every individual who reads this has engaged in one distracted driving behavior or another at some point.

Driving is difficult. Unfortunately, it’s not always simply our actions that lead to motor vehicle crashes. These crashes often involve more than one vehicle, and sometimes a drunk, distracted or otherwise impaired driver hits another car, the driver of which may be completely at attention. Thus, driving without distractions is about giving yourself the best opportunity to react to the conditions around you.

The Center for Disease Control and Prevention (CDC) categorizes distracting driving into three main types:

Cognitive: taking your mind off of driving
Manual: taking your hands off the wheel
Visual: taking your eyes off the road

I know it seems like virtually anything you do in a car, from having a conversation to sipping on a drink qualifies, and in the event that seems a bit overbearing, remember you don’t get to see the consequences of all the bad decisions that lead to various death and other calamities that show up in an emergency room. If nothing else, today, I’d like for you to especially consider eliminating texting while driving because it combines all three of the above forms of distraction.

Here is some baseline data on motor vehicle collisions provided by the CDC.

For the first time in nearly a decade, preliminary data from the National Safety Council estimates that as many as 40,000 people died in motor vehicle crashes in 2016. That marks a 6% increase over 2015 and a 14% increase over 2014 – the most dramatic two-year escalation in 53 years.
An estimated 4.6 million roadway users were injured seriously enough to require medical attention, a 7% increase over 2015. This means 2016 may have been the deadliest year on the roads since 2007. Estimated cost to society was $432 billion.

Here’s some data from 2014, the most recently updated information.

16% of all motor vehicle crashes in the United States involved a distracted driver.
431,000 people were injured in motor vehicle crashes involving a distracted driver.
3,179 people died in crashes involving a distracted driver.
520 non-occupants (e.g., pedestrians and cyclists) died in a crash that involved a distracted driver.
At any given time in 2015, an estimated 2.2% of all drivers on the road were texting or visibly using a hand-held device – the same percentage as in 2014.
Research suggests that distraction is present during 52% of normal driving. Common distractions include interacting with an adult or teen passenger (15%), using a cell phone (6%), and using systems such as climate control and radio (4%).

Many states are banning texting while driving, or using graduated driver licensing systems for teen drivers to help raise awareness about the dangers of distracted driving and to keep it from occurring. That said, at the end of the day, this isn’t going to be legislated away. Even you will or won’t reduce your individual risk, and that can be done in some very specific ways.

While driving, place your phone out of reach, or just cut it off.
While a passenger, be assertive in preventing the driver from engaging in distracted activities.

It’s up to you. The life you save may be your own. I’ll text you later.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Prevention and Treatment of Carpal Tunnel Syndrome

April 20, 2017Neurology, Occupational Health, Orthopedics/Bones844-SMA-TALK, Behind the Curtain, carpal tunnel syndrome, neuropathy, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser (composition), There are 72 Hours in a DayJeffrey Sterling, MD

If you have carpel tunnel syndrome (CTS) or are at significant risk for developing it, you really should learn strategies to either prevent, limit progression or treat the condition. Of course, once you develop it, you’ll be more focused on treatment. Fortunately, very good options exist for all of these, and that’s what we’ll be reviewing in today’s Straight, No Chaser. Feel free to review this previous post on carpal tunnel syndrome, discussing its causes and risk factors.

How can carpal tunnel syndrome be prevented in the workplace?
Here are activities you should employ if you’re at risk for CTS. Your employer (through employee health services or even without such an entity) can develop an ergonomics program. This involves adapting the workplace (e.g. conditions and job demands) to the capability and needs of workers to complete assigned tasks. Components of ergonomics may include the following.

Redesign of workstations, tools and tool handles, and tasks to enable the wrist to maintain a natural position during work
Frequent rest breaks
Job rotation among workers
On-the-job conditioning
Stretching exercises
Use of splints to keep your wrists straight
Use of correct posture and wrist position
Wearing fingerless gloves to keep your hands warm and flexible

Of course if you have high-risk conditions such as obesity, arthritis or diabetes, you will do well to manage these conditions. Doing so will lessen the risk of subsequent development or worsening of CTS.
How is carpal tunnel syndrome treated?
In this post, we will address general, drug and surgical treatments. More detailed treatment considerations are covered at www.sterlingmedicaladvice.com.

General

Treatments for CTS should begin as early as possible and under a doctor’s direction.
Underlying causes such as diabetes or arthritis should be treated first.
Initial treatment generally involves resting the affected hand and wrist for at least 2 weeks, avoiding activities that may worsen symptoms, and immobilizing the wrist in a splint to avoid further damage from twisting or bending.
If there is inflammation, applying cool packs can help reduce swelling.

Drugs

In special circumstances, various drugs can ease the pain and swelling associated with CTS. Nonsteroidal anti-inflammatory drugs (e.g. aspirin, ibuprofen, and other nonprescription pain relievers) may ease symptoms that have been present for a short time or have been caused by strenuous activity.
Other drugs occasionally used include diuretics (“water pills”), meant to decrease swelling. Corticosteroids (such as prednisone) or the drug lidocaine can be injected directly into the wrist or taken by mouth (in the case of prednisone) to relieve pressure on the median nerve and provide immediate, temporary relief to persons with mild or intermittent symptoms. (Caution: persons with diabetes and those who may be predisposed to diabetes should note that prolonged use of corticosteroids can make it difficult to regulate insulin levels. Additionally, some studies show that vitamin B⁶ (pyridoxine) supplements may ease the symptoms of carpal tunnel syndrome.

Exercise and Alternative Therapies

Stretching and strengthening exercises can be helpful in people whose symptoms have abated. These exercises may be supervised by a physical therapist trained to use exercises to treat physical impairments, or an occupational therapist, who is trained in evaluating people with physical impairments and helping them build skills to improve their health and well-being.
Acupuncture and chiropractic care have benefited some patients but their effectiveness remains unproven. An exception is yoga, which has been shown to reduce pain and improve grip strength among patients with carpal tunnel syndrome.

Surgery

Carpal tunnel release is one of the most common surgical procedures in the United States. Generally recommended if symptoms last for 6 months, surgery involves cutting the band of tissue around the wrist to reduce pressure on the median nerve. Surgery is done under local anesthesia and does not require an overnight hospital stay.
Although symptoms may be relieved immediately after surgery, full recovery from carpal tunnel surgery can take months. Complications may include infection, nerve damage, stiffness, and pain at the scar. Occasionally the wrist loses strength because the carpal ligament is cut. Patients should undergo physical therapy after surgery to restore wrist strength. Some patients may need to adjust job duties or even change jobs after recovery from surgery.
Recurrence of carpal tunnel syndrome following treatment is rare. The majority of patients recover completely.

If you focus on the prevention strategies, the need for surgery will be lessened, and treatments will be guided by your physician. Your first job should be to discuss the safety of your work environment and ensure you’re doing what’s needed to minimize your risk.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
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Straight, No Chaser In The News: The Cleveland Murder, African Americans and Mental Health

April 17, 2017General Health and Wellness72 Hours Life, 844-SMA-TALK, Behind the Curtain, Cleveland Murder, Easter Massacre, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

In the news is a simply horrific, seemingly random murder in Cleveland that was posted to Facebook. Today’s Straight, No Chaser seeks to review a central aspect of the crime: the alleged perpetrator of the crime appears to be suffering from mental health issues, and he claimed to have lost “everything” due to gambling.
Straight, No Chaser has recently reviewed gambling addiction in the following post: Problem Gambling

There also is a fair amount of discussion, if not surprise, that the alleged perpetrator of the crimes was an African-American male, given that a “mental breakdown” appears to have been in play (which, medically speaking is a dubious consideration). Things have changed. There was a time when mental health disorders were not thought to be “much” of an issue in the African-American community (apologies to all historically affected). Over the years, this notion has led to mental illness being dramatically undiagnosed and undertreated in this segment of the population. However, as this data from the U.S. Department of Health and Human Services, Office of Minority Health (DHHS/OMH) points out, that is a misperception at best.
Regarding mental health and African-Americans

African-Americans are 10% more likely to report having serious psychological distress than Non-Hispanic whites.
The death rate from suicide for African-American men was more than four times greater than for African-American women, in 2014.
However, the suicide rate for African-Americans is 70% lower than that of the non-Hispanic white population.

As these things go, there’s a relative consideration and an absolute consideration, and it’s true that more than one thing can be true at a time. As noted, African-Americans commit suicide at a significantly lower rate than others within the general population. However, it is also true that African-Americans have a significantly higher level of psychological distress. As such, a report from the U.S. Surgeon General found that from 1980 – 1995, the suicide rate among African-Americans ages 10 to 14 increased 233%, as compared to 120% of non-Hispanic whites.
Also, I would be remiss if I didn’t point out the strong correlation between poverty and mental health. Also from the DHHS/OMH:

Poverty level affects mental health status. African-Americans living below the poverty level, as compared to those over twice the poverty level, are 3 times more likely to report psychological distress.

All of this is to say, mental health concerns among African-Americans should be taken as seriously as they are in every other segment of society and not dismissed as something to be absorbed by the individual. Remove the stigma. Get people the help they need before a crisis occurs.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

There are 72 Hours in a Day – Using Efficiency to Better Enjoy Every Part of Your Life

April 15, 2017Personal Training, Public Health, Health Prevention72 Hours Life, 844-SMA-TALK, Behind the Curtain, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

The teams at Straight, No Chaser, Sterling Medical Advice.com and 72 Hours Life are thrilled to offer you our newest book – There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life. The book defines a lifestyle of productivity that clears your clutter and allows you get to your meaningful pursuits, whatever they may be. There are 72 Hours in a Day is the statement of purpose for Living the 72 Hours Life. Rest assured, health considerations play a significant part of the book and in promoting productivity. Remember, the goal is living your best life, but the means is greater productivity and efficiency.

Here’s an excerpted book review from Kirkus, the industry leader for 80 years:

BOOK REVIEW
In this how-to book, an emergency physician provides strong rationales and helpful instructions for maximizing efficiency in many aspects of day-to-day life. Sterling (Behind the Curtain, 2015) is both an accomplished health care consultant with extensive experience in emergency medicine and a business owner. This varied experience forms a solid foundation from which he shares insights on how to “discover ever-increasing levels of efficiency.” His tone is logical, straightforward, and encouraging, allowing room for readers who may have different definitions of personal success. His book contains specific strategies that are, on the whole, easy to understand. They address how to make work, organizations, health, recreation, finances, and relationships more efficient, with an emphasis on “working smarter, not harder.” …An often clear and credible read that looks at how to clear space for one’s priorities.
We’re offering There are 72 Hours in a Day for the crazy low early bird price of $5.50! Order now at Amazon.com or at 72 Hours Life.com.
Here’s some of our other offerings related to The 72 Hours Life:
Books:

On May 1^st, we will release another book – The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days. The workbook will facilitate your assessing your current level of performance and provide you with tips, activities and other tools to help you implement the strategies espoused in the main text.
The 72 Hour book series will continue with other topics of interest.

Web Community:

We have created an amazing experience for you at www.72HoursLife.com and want to invite you to experience it. The web community is set up to offer you a completely interactive, if not “gamified” experience in becoming more productive. The website offers the following with an eye toward productivity, success and community:

Activities
- The website takes your through 72 days of reflections and activities, and it offers you tips and resources to allow you to practice and build upon your skills.
Forum
- Join thousands of other like-minded participants, or create your own group, in the pursuit of thinking through and discovering solutions to your productivity challenges.
- Enjoy the Open Houses being held by our star-studded group of efficiency experts and contributors.
Articles
- Learn from the unique perspectives of a broad variety of individuals sharing their approaches to productivity across work, finances, relationships, health/fitness and other aspects of life.
Training
- Enjoy individual consultations on your goals through the website.
- Sign up for strategy sessions on your specific projects.

Symposia and Workshops:

Personal productivity training workshops will be offered at multiple locations throughout the world.
Corporate training and consultations will be offered for executives and employees.

The 72 Hours Life isn’t about just working harder. It’s about becoming more efficient as a means toward uncluttering your life. Once you’ve accomplished that, you will be more successful in reaching your professional goals and having more time to enjoy the more pleasurable aspect of your life. Join the community. You’ll get everything you put into back out several-fold. Our goal is the same as it’s always been – to help you live a better, healthier, more fulfilled life.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Living The 72 Hours Life – Free Giveaway Included!

April 6, 2017Health Prevention72 Hours Life, 844-SMA-TALK, Behind the Curtain, Conditions and Diseases, Sterling Medical Advice, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

Straight, No Chaser and the many other resources found at Sterling Initiatives (www.jeffreysterlingmd.com) have always been about empowering you to live your best life through better health (www.sterlingmedicaladvice.com), better access to information (SMA TALK / www.docadviceline.com), or better implementation strategies (www.sterlinginitiatives.com). We’ve brought you Straight, No Chaser daily for over three years and have even taken you Behind the Curtain. All the way, the goal is to provide services and accurate information that helps you sort through the clutter.

These considerations have been advanced and expanded in our latest effort. Allow us to introduce you to The 72 Hours Life (www.72HoursLife.com). We have assembled a phenomenal team to extend the same principles you’ve enjoyed in Straight, No Chaser to the other aspects of your life, including work, financial, personal and spiritual. The goal is living your best life, but the means is greater productivity and efficiency.
Here’s some of what we have in store for you:
Books:

On April 15^th, we will release There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life. This manual will provide a road map for approaching the necessary tasks in your life.
On May 1^st, we will release The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days. The workbook will facilitate your assessing your current level of performance and provide you with tips, activities and other tools to help you implement the strategies espoused in the main text.
The 72 Hour book series will continue with other topics of interest.

Web Community:

Activities
- The website takes your through 72 days of reflections and activities, and it offers you tips and resources to allow you to practice and build upon your skills.
Forum
- Join thousands of other like-minded participants, or create your own group, in the pursuit of thinking through and discovering solutions to your productivity challenges.
- Enjoy the Open Houses being held by our star-studded group of efficiency experts and contributors.
Articles
- Learn from the unique perspectives of a broad variety of individuals sharing their approaches to productivity across work, finances, relationships, health/fitness and other aspects of life.
Training
- Enjoy individual consultations on your goals through the website.
- Sign up for strategy sessions on your specific projects.

Symposia and Workshops:

Personal productivity training workshops will be offered at multiple locations throughout the world.
Corporate training and consultations will be offered for executives and employees.

The 72 Hours Life isn’t about just working harder. It’s about becoming more efficient as a means toward uncluttering your life. Once you’ve accomplished that, you will be more successful in reaching your professional goals and having more time to enjoy the more pleasurable aspect of your life. Join the community. You’ll get everything you put into back out several-fold. Our goal is the same as it’s always been – to help you live a better, healthier, more fulfilled life.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Preorder your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at www.72hourslife.com. Receive introductory pricing with preorders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Understanding the Horror of Night Terrors

March 12, 2016Pediatrics/Kids Health, Sleep, Health Prevention844-SMA-TALK, Behind the Curtain, Conditions and Diseases, health, Night terror, Sleep, Sleep deprivation, Sleep disorder, Sleepwalking, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, Stress, There are 72 Hours in a DayJeffrey Sterling, MD

Introduction

This Straight, No Chaser post on night terrors is part of a series on sleep and sleep disorders.

I wonder how many of you have been exposed to night terrors. These are different than nightmares, which we all know and experience. In a nightmare, Little Johnny has had a bad dream, maybe thinking there’s a monster under his bed. He wants to be comforted by you, and he is still upset the next morning. That’s not what a night terror looks like.

During a night terror, Little Johnny may be sleep walking, or he seems to wake up in the middle of the night and just starts screaming. He’s really not communicative; he’s just terrified. These episodes generally last about 15 minutes. Then he goes back to sleep. The next morning, the child has no recollection of the event.

Causes and Triggers of Night Terrors

The cause of night terrors is unknown but they seem to be triggered by emotional stress and lack of sleep. Febrile illnesses also seem to correlate with the presence of these episodes.

Who gets these? Children less than age seven, more frequently boys. These episodes usually stop by age 10. There often is a family history.

There’s really no testing or treatment for these until they are frequent and prolonged, or unless a secondary injury occurs from all the trashing about.

I bring this to your attention because many parents are aware of this phenomenon and have no idea what to do when it occurs. My best advice is to ensure that the child is safe during the episode for otherwise stress free children. You may want to consider medical or psychological screening if the problem worsens. Sleep well…

Follow us!

Ask your SMA expert consultant any questions you may have on this topic. Also, take the #72HoursChallenge, and join the community. Additionally, as a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Another free benefit to our readers is introductory pricing with multiple orders and bundles!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Likewise, please share our page with your friends on WordPress! Also like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

How Can I Prevent Acne?

October 20, 2013General Health and Wellness, Skin/Dermatology844-SMA-TALK, Acne vulgaris, Behind the Curtain, Benzoyl peroxide, Facebook, health, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, Straight No Chaser (composition), There are 72 Hours in a Day, Twitter, WordPressJeffrey Sterling, MD

Introduction

This Straight, No Chaser answers the simple question “How can I prevent acne?”

What to Do

You can prevent pimples by keeping your face clean and your hands away from your face. Use any good cleanser or soap to gently wash the affected area two to three times daily. You treat most cases of mild acne with over-the-counter lotions or creams containing salicylic acid and benzoyl peroxide. You can also try dietary or herbal products like arnica, zinc, and tea tree oil.

If herbal or over-the-counter products do not work, a doctor may recommend a prescription medicine that can be applied to the skin or taken orally. If you have more than 10 blemishes on one side of your face or they are deep, painful and swollen, you should see a doctor. People over the age of 25 with acne may also need a doctor’s care for acne.

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“What should I look for as an indicator of poor mental health in children?”

October 16, 2013Mental Health, Pediatrics/Kids Health, Health Prevention844-SMA-TALK, Behind the Curtain, Disorders, health, Mental health professional, mental-health, SMA, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, Symptom, There are 72 Hours in a DayJeffrey Sterling, MD

Introduction

Today’s questions related to mental health in children.

“What should I look for in my child as an indicator of mental health issues?”

Today’s question is simple. The answer certainly is not. Be aware of changes in your child’s emotional, behavioral, and/or mental functioning. Remember that children often express sadness and feelings of depression in the form of anger, through outbursts, tantrums, etc. If the symptoms persist for more than a month, seek evaluation from your child’s doctor or a mental health professional. Sooner is better than later.

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